The use of periosteum for the treatment of gingival recession defect. (a) Clinical photograph showing gingival recession defect in relation to the maxillary first right premolar. (b) A partial thickness flap lifted to expose the underlying periosteum covering the alveolar bone. (c) The periosteum which is separated from the underlying bone. (d) The periosteum is used as a pedicle graft for covering the recession defect. (e) The periosteal graft is covered with the overlying coronally advanced flap which is sutured using 4–0 silk suture. (f) Satisfactory treatment outcome.